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Archives of Sexual Behavior

, Volume 48, Issue 1, pp 347–356 | Cite as

“My Sexuality…It Creates a Stress”: HIV-Related Communication Among Bisexual Black and Latino Men, New York City

  • Kirk D. HennyEmail author
  • Kathryn Drumhiller
  • Madeline Y. Sutton
  • José Nanín
Original Paper

Abstract

Men who have sex with men and women (including bisexual men) comprise 35% of all men who have sex with men (MSM) in the U.S. It is estimated that 121,800 men who have been bisexually active within the past year are living with HIV in the U.S. Communication about HIV may result in risk-reduction behaviors. However, little is known about the nature or context for HIV prevention communication among bisexual men, particularly for blacks and Hispanic/Latinos who are disproportionately at greater HIV risk. Therefore, we explored patterns and contexts of HIV-related communications occurring within personal social networks among bisexual black and Hispanic/Latino men. Using respondent-driven sampling methods, we conducted semi-structured interviews from 2011 to 2012 among 36 participants living in New York City. We examined interview responses from participants for main themes using computer-assisted thematic analyses. The three main themes identified were: (1) communication strategies (e.g., “You can tell a lot from how a person responds just by the tone of their voice”), (2) barriers (e.g., “My sexuality…it creates a stress”), and (3) motivations for these communications (e.g., “I know that’s a(n) issue in the black community…if I could help another brother, I will do it”). Our findings can inform HIV prevention efforts such as social messaging campaigns and other risk-reduction interventions designed for bisexual men.

Keywords

HIV Prevention communication Black/African-American Hispanic/Latino Bisexual men 

Notes

Acknowledgements

We thank the men who participated, the Center for HIV Educational Studies and Training, and the Gay Men of African Descent for their participation in and support of this study.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.

Funding

This study was supported with CDC’s Minority HIV/AIDS Research Initiative award # U01PS000677

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Aholou, T., Nanin, J., Drumhiller, K., & Sutton, M. (2017). Missed opportunities for HIV prevention communications during sexual activity for black men who have sex with men. AIDS Patient Care and STDs, 31, 33–40.  https://doi.org/10.1089/apc.2016.0220.CrossRefPubMedGoogle Scholar
  2. Bingham, T., Harawa, N., & Williams, J. (2013). Gender role conflict among African American men who have sex with men and women: Associations with mental health and sexual risk and disclosure behaviors. American Journal of Public Health, 103, 127–133.  https://doi.org/10.2105/AJPH.2012.300855.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Campbell, C., Gomez, A., Dworkin, S., Wilson, P., Grisham, K., McReynolds, J., … Hoff, C. (2014). Health, trust, or “just understood”: Explicit and implicit condom decision-making processes among black, white, and interracial same-sex male couples. Archives of Sexual Behavior, 43, 697–706.  https://doi.org/10.1007/s10508-013-0146-5.CrossRefPubMedGoogle Scholar
  4. Centers for Disease Control and Prevention. (2016). HIV infection risk, prevention and testing behaviors among men who have sex with men-National HIV Behavioral Surveillance, 20 U.S. cities. HIV Surveillance Special Report 15. Retrieved June 29, 2018, from http://www.cdc.gov/hiv/library/reports/surveillance/#panel2.
  5. Centers for Disease Control and Prevention. (2017). HIV Surveillance Report, 2016. Retrieved June 29, 2018, from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.
  6. Dodge, B., Jeffries, W., IV, & Sandfort, T. (2008). Beyond the down low: Sexual risk, protection, and disclosure among at-risk black men who have sex with both men and women (MSMW). Archives of Sexual Behavior, 37, 683–696.  https://doi.org/10.1007/s10508-008-9356-7.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Friedman, M., Dodge, B., Schick, V., Herbenick, D., Hubach, R., & Bowl, J. (2014a). From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health, 1, 309–318.  https://doi.org/10.1089/lgbt.2014.0005.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Friedman, M., Wei, C., Klem, M., Silvestre, A., Markovic, N., & Stall, R. (2014b). HIV infection and sexual risk among men who have sex with men and women (MSMW): A systemic review and meta-analysis. PLoS ONE, 9, e87139.  https://doi.org/10.1371/journal.pone.0087139.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Garett, R., Smith, J., Chiu, J., & Young, S. D. (2016). HIV/AIDS stigma among a sample of primarily African–American and Latino men who have sex with men social media users. AIDS Care, 28(6), 731–735.  https://doi.org/10.1080/09540121.2016.1146395.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Gates, G. (2011). How many people are lesbian, gay, bisexual, and transgender? Retrieved from http://williamsinstitute.law.ucla.edu/wp-content/uploads/Gates-How-Many-People-LGBT-Apr-2011.pdf.
  11. Grey, J., Bernstein, K., Sullivan, P., Purcell, D., Chesson, H., Gift, T., & Rosenberg, E. (2016). Estimating the population sizes of men who have sex with men in US states and counties using data from the American Community Survey. JMIR Public Health and Surveillance, 2, e14.  https://doi.org/10.2196/publichealth.5365.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 59–82.  https://doi.org/10.1177/1525822x05279903.CrossRefGoogle Scholar
  13. Guest, G., MacQueen, K., & Namey, E. (2011). Applied thematic analysis. Los Angeles, CA: Sage.Google Scholar
  14. Heckathorn, D. (1997). Respondent-driven sampling: a new approach to the study of hidden populations. Social Problems, 44, 174–199.  https://doi.org/10.2307/3096941.CrossRefGoogle Scholar
  15. Heijman, T., Zuure, F., Stolte, I., & Davidovich, U. (2017). Motives and barriers to safer sex and regular STI testing among MSM soon after HIV diagnosis. BMC Infectious Diseases, 17, 194.  https://doi.org/10.1186/s12879-017-2277-0.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Hickson, D., Mena, L., Wilton, L., Tieu, H., Koblin, B., Cummings, V., … Mayer, K. (2017). Sexual networks, dyadic characteristics, and HIV acquisition and transmission behaviors among black men who have sex with men in 6 cities. American Journal of Epidemiology, 185, 786–800.  https://doi.org/10.1093/aje/kww144.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Horvath, K., Oakes, J., & Rosser, B. (2008). Sexual negotiation and HIV serodisclosure among men who have sex with men with their online and offline partners. Journal of Urban Health, 85, 744–758.  https://doi.org/10.1007/s11524-008-9299-2.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Hruschka, D., Schwartz, D., John, D., Picone-Decaro, E., Jenkins, R., & Carey, J. (2004). Reliability in coding open-ended data: Lessons learned from HIV behavioral research. Field Methods, 16, 307–331.  https://doi.org/10.1177/1525822x04266540.CrossRefGoogle Scholar
  19. Jeffries, W., IV. (2014). Beyond the bisexual bridge: sexual health among U.S. men who have sex with men and women. American Journal of Preventive Medicine, 47, 320–329.  https://doi.org/10.1016/j.amepre.2014.05.002.CrossRefPubMedGoogle Scholar
  20. Lippman, S., Koester, K., Amico, K., Lama, J., Fernandes, N., Gonzales, P., … Koblin, B. (2015). Client and provider perspectives on new HIV prevention tools for MSM in the Americas. PLoS ONE, 10, E0121044.  https://doi.org/10.1371/journal.pone.0121044.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Mavhandu-Mudzusi, A., & Sandy, P. (2015). Religion-related stigma and discrimination experienced by lesbian, gay, bisexual and transgender students at a South African rural-based university. Culture, Health & Sexuality, 17, 1049–1056.  https://doi.org/10.1080/13691058.2015.1015614.CrossRefGoogle Scholar
  22. McCree, D., Oster, A., Jeffries, W., IV, Denson, D., Lima, A., Whitman, H., … Henny, K. (2017). HIV acquisition and transmission among men who have sex with men and women: What we know and how to prevent it. Preventive Medicine, 100, 132–134.  https://doi.org/10.1016/j.ypmed.2017.04.024.CrossRefPubMedGoogle Scholar
  23. Nanin, J. (2013). Testing intent and other demographic, psychosocial, and behavioral predictors of HIV testing among black MSM in New York City. Paper presented at the American Public Health Association Annual Meeting and Exposition, Boston.Google Scholar
  24. Nanin, J., Osubu, T., Walker, J., Powell, B., Powell, D., & Parsons, J. (2009). “HIV is still real”: Perceptions of HIV testing and HIV prevention among black men who have sex with men in New York City. American Journal of Men’s Health, 3, 150–164.  https://doi.org/10.1177/1557988308315154.CrossRefPubMedGoogle Scholar
  25. New York City Department of Health and Mental Hygiene. (2017). HIV Surveillance Annual Report, 2015. Retrieved June 29, 2018, from https://www.health.ny.gov/diseases/aids/general/statistics/annual/2015/2015_annual_surveillance_report.pdf.
  26. Purcell, D., Johnson, C., Lansky, A., Prejean, J., Stein, R., Denning, P., … Crepaz, N. (2012). Estimating the population size of men who have sex with men in the United States to obtain HIV and syphilis rates. The Open AIDS Journal, 6(Suppl. 1: M6), 98–107.  https://doi.org/10.2174/1874613601206010098.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Schrimshaw, E., Downing, M., & Cohn, D. (2018). Reasons for non-disclosure of sexual orientation among behaviorally bisexual men: Non-disclosure as stigma management. Archives of Sexual Behavior, 47, 219–233.  https://doi.org/10.1007/s10508-016-0762-y.CrossRefPubMedGoogle Scholar
  28. Serovich, J., Laschober, T., Brown, M., & Kimberly, J. (2017). Longitudinal findings on changes in and the link between HIV-related communication, risky sexual behavior, and relationship status in men who have sex with men living with HIV. Sexually Transmitted Diseases, 44, 732–738.  https://doi.org/10.1097/OLQ.0000000000000680.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Shadaker, S., Magee, M., Paz-Bailey, G., & Hoots, B. (2017). Characteristics and risk behaviors of men who have sex with men and women compared with men who have sex with men—20 US cities, 2011 and 2014. Journal of Acquired Immune Deficiency Syndromes, 75, S281–S287.  https://doi.org/10.1097/QAI.0000000000001403.CrossRefPubMedGoogle Scholar
  30. Tobin, K., Yang, C., Sun, C., Spikes, P., & Latkin, C. (2014). Discrepancies between HIV prevention communication attitudes and actual conversations about HIV testing within social and sexual networks of African American men who have sex with men. Sexually Transmitted Diseases, 41, 221–226.  https://doi.org/10.1097/OLQ.0000000000000112.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Widman, L., Golin, C., & Noar, S. (2013). When do condom use intentions lead to actions? Examining the role of sexual communication on safer sexual behavior among people living with HIV. Journal of Health Psychology, 18, 507–517.  https://doi.org/10.1177/1359105312446769.CrossRefPubMedGoogle Scholar
  32. Williams, C., Mackesy-Amiti, M., McKirnan, D., & Ouellet, L. (2009). Differences in sexual identity, risk practices, and sex partners between bisexual men and other men among a low-income drug-using sample. Journal of Urban Health, 86, 93–106.  https://doi.org/10.1007/s11524-009-9367-2.CrossRefPubMedPubMedCentralGoogle Scholar
  33. Winter, A., Sullivan, P., Khosropour, C., & Rosenberg, E. (2012). Discussion of HIV status by serostatus and partnership sexual risk among internet-using MSM in the United States. Journal of Acquired Immune Deficiency Syndromes, 60, 525–529.  https://doi.org/10.1097/QAI.0b013e318257d0ac.CrossRefPubMedGoogle Scholar
  34. Wohl, A., Galvin, F., Carlos, J., Myers, H., Garland, W., Witt, M., … George, S. (2013). A comparison of MSM stigma, HIV stigma and depression in HIV-positive Latino and African American men who have sex with men (MSM). AIDS and Behavior, 17, 1454–1464.  https://doi.org/10.1007/s10461-012-0385-9.CrossRefPubMedGoogle Scholar
  35. Zule, W., Bobashev, G., Wechsberg, W., Costenbader, E., & Coomes, C. (2009). Behaviorally bisexual men and their risk behaviors with men and women. Journal of Urban Health, 86, 48–62.  https://doi.org/10.1007/s11524-009-9366-3.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© This is a U.S. government work and its text is not subject to copyright protection in the United States; however, its text may be subject to foreign copyright protection  2018

Authors and Affiliations

  • Kirk D. Henny
    • 1
    Email author
  • Kathryn Drumhiller
    • 1
    • 2
  • Madeline Y. Sutton
    • 1
  • José Nanín
    • 3
  1. 1.Division of HIV/AIDS PreventionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Chenega Professional and Technical ServicesChesapeakeUSA
  3. 3.Community Health Program at Kingsborough Community CollegeCity University of New YorkBrooklynUSA

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